Provider Demographics
NPI:1700813045
Name:SALVADOR KING, MONICA (MD)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:SALVADOR KING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 DEMPSTER ST STE 307
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-8427
Mailing Address - Country:US
Mailing Address - Phone:847-299-9742
Mailing Address - Fax:847-299-8620
Practice Address - Street 1:2604 DEMPSTER ST STE 307
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-8427
Practice Address - Country:US
Practice Address - Phone:847-299-9742
Practice Address - Fax:847-299-8620
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360961932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01625371OtherBLUE CROSS BLUE SHIELD
IL036096193Medicaid
IL036096193Medicaid
IL556760Medicare ID - Type Unspecified